Arm and leg impairments and disabilities after stroke rehabilitation: relation to handicap

Objectives: (1) To examine the relationships between measures of impairment and disability for the arm and leg with a measure of handicap and (2) to identify the impairment or disability most strongly related to handicap situations. Design: Prospective cohort study. Setting: Intensive functional rehabilitation unit and community. Patients: One hundred and two persons who had a stroke. Main outcome measures: Arm and leg impairments and disabilities were evaluated with reliable and valid tests at discharge from rehabilitation. Six months later, handicap situations were evaluated with the Assessments of Life Habits (LIFE-H). Results: Arm and leg impairments and disabilities are correlated with handicap situations. Disability of the leg is more strongly associated with handicap than arm disability. Arm and leg disabilities are not statistically more strongly related to handicap than arm and leg impairments. Conclusions: The high correlations found between handicap situations and the impairment and disability measures of the leg provide new information that support the importance of mobility to promote integration after stroke.

[1]  A. Fugl-Meyer,et al.  Upper extremity function in hemiplegia. A cross-validation study of two assessment methods. , 2020, Scandinavian Journal of Rehabilitation Medicine.

[2]  D. Wade,et al.  Walking after stroke. Measurement and recovery over the first 3 months. , 2020, Scandinavian journal of rehabilitation medicine.

[3]  J. McNeil,et al.  Handicap After Stroke: How Does It Relate to Disability, Perception of Recovery, and Stroke Subtype?: The North East Melbourne Stroke Incidence Study (NEMESIS) , 2002, Stroke.

[4]  C. Richards,et al.  Responsiveness and predictability of gait speed and other disability measures in acute stroke. , 2001, Archives of physical medicine and rehabilitation.

[5]  C. Richards,et al.  Walking speed over 10 metres overestimates locomotor capacity after stroke , 2001, Clinical rehabilitation.

[6]  S McEwen,et al.  Disablement following stroke. , 1999, Disability and rehabilitation.

[7]  M. Kaste,et al.  Correlates of Dependent Living3 Months after Ischemic Stroke , 1998, Cerebrovascular Diseases.

[8]  G St-Michel,et al.  Social consequences of long term impairments and disabilities: conceptual approach and assessment of handicap , 1998, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[9]  S. Tyson.  Stroke Rehabilitation: What is the point? , 1995 .

[10]  M. Radomski.  There is more to life than putting on your pants. , 1995, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[11]  R. Hébert,et al.  Upper-extremity motor co-ordination of healthy elderly people. , 1995, Age and ageing.

[12]  S. Wood-Dauphinée,et al.  The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. , 1995, Scandinavian journal of rehabilitation medicine.

[13]  H. Dickson.  Handicap one year after a stroke: validity of a new scale. , 1995, Journal of neurology, neurosurgery, and psychiatry.

[14]  J. Desrosiers,et al.  Validity of the TEMPA: A Measurement Instrument for Upper Extremity Performance , 1994 .

[15]  Pamela W. Duncan,et al.  Similar Motor Recovery of Upper and Lower Extremities After Stroke , 1994, Stroke.

[16]  P. Stratford,et al.  Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke. , 1993, Physical therapy.

[17]  Réjean Hébert,et al.  Development and Reliability of an Upper Extremity Function Test for the Elderly: The TEMPA , 1993 .

[18]  S. J. Sullivan,et al.  Reliability of the scores for the finger-to-nose test in adults with traumatic brain injury. , 1993, Physical therapy.

[19]  S. Bandinelli,et al.  Recovery of Functional Status After Stroke: A Postrehabilitation Follow‐up Study , 1993, Stroke.

[20]  P J Holliday,et al.  Clinical and laboratory measures of postural balance in an elderly population. , 1992, Archives of physical medicine and rehabilitation.

[21]  D. Wade,et al.  Measurement in neurological rehabilitation. , 1992, Current opinion in neurology and neurosurgery.

[22]  A. Drummond,et al.  Leisure activity after stroke. , 1990, International disability studies.

[23]  W. Weerdt.  Measuring recovery of arm-hand function in stroke patients: A comparison of the Brunnstrom-Fugl-Meyer test and the Action Research Arm test , 1985 .

[24]  M. Kotila,et al.  The Profile Of Recovery From Stroke And Factors Influencing Outcome , 1984, Stroke.

[25]  P A Wolf,et al.  Epidemiologic profile of long-term stroke disability: the Framingham study. , 1979, Archives of physical medicine and rehabilitation.

[26]  E M Badley,et al.  Handicap in stroke survivors. , 1999, Disability and rehabilitation.

[27]  M. Kaste,et al.  Correlates of dependent living 3 months after ischemic stroke. , 1998, Cerebrovascular diseases.

[28]  R. Craik,et al.  Gait analysis : theory and application , 1995 .

[29]  Xiao-Li Meng,et al.  Comparing correlated correlation coefficients , 1992 .

[30]  K. Berg.  Measuring balance in the elderly: preliminary development of an instrument , 1989 .

[31]  B. Lindmark.  Evaluation of functional capacity after stroke with special emphasis on motor function and activities of daily living. , 1988, Scandinavian journal of rehabilitation medicine. Supplement.

[32]  A. Arsenault,et al.  An evaluation of the hemiplegic subject based on the Bobath approach. Part I: The model. , 1988, Scandinavian journal of rehabilitation medicine.

[33]  J. Sylvest,et al.  Reflex dystrophy. Resting blood flow and muscle temperatures as diagnostic criteria. , 1977, Scandinavian journal of rehabilitation medicine.

[34]  A. Fugl-Meyer,et al.  The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. , 1975, Scandinavian journal of rehabilitation medicine.